Organization Active NPI

Campbell Behavioral Service Inc

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1083629653
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAMPBELL BEHAVIORAL SERVICE INC
Practice address
506 S Main St
Suite 420
Las Cruces, NM 88001-1207
Phone
(505) 532-9050
Fax
(505) 522-3689
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy J Campbell, LISW
Title
Clinical Social Worker
Phone
(505) 532-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

506 S Main St
Suite 420
Las Cruces, NM 88001-1207

Mailing address

1300G El Paseo Rd # 135
Las Cruces, NM 88001-6024
Phone (505) 532-9050

Other identifiers 1

IdentifierTypeStateIssuer
50621319MedicaidNM

National Provider Directory

National Provider Directory

Locations

1300 El Paseo Rd
Ste 135
Las Cruces, NM 88001

500 S Main St
Ste 430
Las Cruces, NM 88001
Phone (505) 532-9050

2500 S Solano Dr
Las Cruces, NM 88001
Phone (575) 532-9050

506 S Main St
Ste 420
Las Cruces, NM 88001
Phone (505) 532-9050

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1083629653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300G EL PASEO RD # 135",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016024",
            "telephone_number": "505-532-9050",
            "fax_number": "505-522-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "address_2": "SUITE 420",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011207",
            "telephone_number": "505-532-9050",
            "fax_number": "505-522-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL BEHAVIORAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "505-532-9050",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50621319",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.